Riverside Crossing
Pet Questionnaire
(Must be filled out for each pet) Date_______________
Type of Pet __________________ Breed_____________________
Where did you get your pet?____________________________________________________
How long have you had your pet? ________________ How old is your pet? ___________
Is your pet spayed or neutered? Y___ N___
Is your pet house trained/litter trained? Y___ N___
Has the pet ever caused damage to property? Y___ N___
If pet has caused damage to property, please explain. ____________________________
________________________________________________________________________
Has the pet ever bitten any human or other animal? Y__ N__
Does your pet live inside? Y___ N___ Is your pet leash trained? Y____ N____
Is there a problem if your pet is left alone inside? Y __ N ___ Explain ___________________
____________________________________________________________________________
Is your dog used to running free? Y___ N____ How and how often do you exercise your dog? Explain ____________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Who will care for your pet if the owner is not home? _______________________________
Phone # _______________________________
Have you boarded your pet? Y___ N____ Name of kennel _________________________
Does your pet have the proper vaccinations and licenses pursuant to Hamilton Municipal Code Title 6 – Animals – Chapter 6.04 thru 6.08 Y____ N_____
Name of veterinarian office _____________________________ Phone ___________________
Please add any additional information we should have about your pet.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Pet Name Owner Name
___________________________ ______________________________
Date Cottage
___________________________ ______________________________